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New York rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.04 / $2,399.00 / $7,235.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.74 / $106.74 / $183.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,333.00 / $4,636.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.68 / $107.55 / $239.60
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.53 / $72.53 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.53 / $72.53 / $137.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.80 / $88.80 / $3,479.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.02 / $125.71 / $341.78
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $68.38 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.56 / $131.34 / $196.56
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.30 / $142.22 / $195.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.10 / $316.58 / $1,963.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.80 / $555.00 / $3,479.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $139.32 / $341.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.09 / $113.23 / $311.30
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.67 / $66.67 / $219.51
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.30 / $142.22 / $195.71